| NPI | 1578347258 |
|---|---|
| Former Name | KATHLEEN ROSE MARBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE no) |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-09-26 |