| NPI | 1477889053 |
|---|---|
| Former Name | KATHY AHEARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 756) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WI 756-226) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-07-30 |