| NPI | 1770150260 |
|---|---|
| Doing Business As | KATRINA M. ANDERSON, LCPC |
| Entity Type | Organization |
| Authorized Contact | KATRINA ANDERSON Mental Health Clinician 443-850-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-06-04 |