NPI | 1376980631 |
---|---|
Former Name | KATHERINE AUDRA FILLION |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2779) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-05-28 |
Last Update Date | 2019-10-24 |