| NPI | 1578572228 |
|---|---|
| Former Name | KATHLEEN ETHEL O'MEARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3593) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 417-124) |
| 101Y00000X Counselor (Licence: WI 3593-123) | |
| 106H00000X Marriage & Family Therapist (Licence: WI 417) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-12-01 |