| NPI | 1568838407 |
|---|---|
| Former Name | KATHRYN SHAW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WV 271) |
| 101YM0800X Counselor, Mental Health (Licence: NC A13003) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37AC00307300) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2024-11-05 |