| NPI | 1518231802 |
|---|---|
| Former Name | KATHERINE MARIE MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018197) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C007673) |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2025-06-17 |