NPI | 1497084974 |
---|---|
Former Name | KATHERINE SPURLOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1612191) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health (Licence: AR A1206048) | |
Enumeration Date | 2009-12-14 |
Last Update Date | 2017-12-21 |