| NPI | 1699312835 |
|---|---|
| Former Name | KATHERINE PITLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.012310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180012310) |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2024-07-03 |