NPI | 1417471251 |
---|---|
Former Name | KATE NOWAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014709) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-08-02 |
Last Update Date | 2025-02-18 |