NPI | 1679950265 |
---|---|
Professional Name | KATIE M. MAHONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180009574) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30204) |
101YM0800X Counselor, Mental Health (Licence: IL 180009574) | |
Enumeration Date | 2015-05-03 |
Last Update Date | 2016-06-03 |