| NPI | 1417232737 |
|---|---|
| Former Name | KATHLEEN BETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL 12660) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2025-06-30 |