NPI | 1346511565 |
---|---|
Other Name | KATIE RICHARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006538) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC4178) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2021-02-03 |