| NPI | 1316373715 |
|---|---|
| Other Name | KATHYLENE CASTILLO SOUTHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI HI-4271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 118839) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2018-08-28 |