| NPI | 1396119368 |
|---|---|
| Former Name | KATHERINE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01103) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303702) |
| Enumeration Date | 2015-11-13 |
| Last Update Date | 2020-01-14 |