| NPI | 1417673088 |
|---|---|
| Former Name | KATHRYN DEGNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 10849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: RI MHC00767) |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |