| NPI | 1588019400 |
|---|---|
| Other Name | KATIE LYNN EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-17380) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 17380) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2024-08-30 |