| NPI | 1386217867 |
|---|---|
| Former Name | KATHERINE V MACIAS-TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-R-1672) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-10-19 |