| NPI | 1578966727 |
|---|---|
| Former Name | KATHERINE MITCHELL |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 2073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2018-03-17 |