| NPI | 1780605493 |
|---|---|
| Former Name | KATHERINE DICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC C002052) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-02-09 |