NPI | 1568702546 |
---|---|
Former Name | KATHRYN FRANCES PERSSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
171M00000X Case Manager/Care Coordinator | |
1041S0200X Social Worker School | |
Enumeration Date | 2013-02-27 |
Last Update Date | 2024-06-18 |