| NPI | 1336371632 |
|---|---|
| Former Name | CATHLEEN A PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0005832) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC-6722) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2023-10-31 |