| NPI | 1730333576 |
|---|---|
| Former Name | PATRICIA KATHRYN MCKEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0078391) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0078391) |
| 101Y00000X Counselor (Licence: NM CCMH0078391) | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2024-12-06 |