| NPI | 1659726198 |
|---|---|
| Former Name | KATHRYN ROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 115981) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-10-17 |