| NPI | 1710930417 |
|---|---|
| Former Name | KATHRINE SUZANNE SHILSTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 22970) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 069647-1) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-09-26 |