| NPI | 1417232737 |
|---|---|
| Former Name | KATHLEEN BETHEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL 12660) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2024-09-30 |