NPI | 1548371255 |
---|---|
Former Name | KATHERINE OVERCASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC C005686) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 13989) |
1041C0700X Social Worker, Clinical (Licence: NC C005686) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2021-12-16 |