| NPI | 1538673371 |
|---|---|
| Other Name | CATHERINE ELISE WALLENBROCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1700519) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700519) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2019-10-23 |