| NPI | 1336602259 |
|---|---|
| Former Name | KATHRYN ANN HAEFELI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-07-20299) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-I-003253) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-09-06 |