| NPI | 1407696594 |
|---|---|
| Former Name | KATHERINE BERNARDINE SHROPSHIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1561700524) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |