NPI | 1477048429 |
---|---|
Former Name | KATHRYN HILLARY MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007801) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC14648) |
Enumeration Date | 2018-06-22 |
Last Update Date | 2020-03-31 |