| NPI | 1326671041 |
|---|---|
| Former Name | KATHRYN ELIZABETH MAYKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9932123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18907-130) |
| 104100000X Social Worker (Licence: WI 131431-121) | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-05-11 |