| NPI | 1447621552 |
|---|---|
| Former Name | KATHERINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 20713) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A11308) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2018-01-22 |