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 |