NPI | 1740554997 |
---|---|
Former Name | KATHERINE D EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-03-06 |
Last Update Date | 2021-04-23 |