| NPI | 1457743031 |
|---|---|
| Former Name | KATHLEEN MCMILLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001983A) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2023-11-17 |