| NPI | 1669011920 |
|---|---|
| Former Name | KATY JANOUSEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC12771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP9970) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2024-05-08 |