| NPI | 1558566489 |
|---|---|
| Former Name | KATHERINE ELLSWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1497) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0801) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-01-26 |