| NPI | 1558678391 |
|---|---|
| Former Name | KATIE HURSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-23242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-4564) |
| 101YP2500X Counselor, Professional (Licence: WY LPC-1319) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2017-03-10 |