| NPI | 1689951824 |
|---|---|
| Former Name | KATHLEEN L HAFLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0900270-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0900270) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2018-03-17 |