NPI | 1487904579 |
---|---|
Former Name | KATHERINE ELEANOR THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KS 2558) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008512) |
Enumeration Date | 2012-09-15 |
Last Update Date | 2023-12-12 |