NPI | 1780796011 |
---|---|
Former Name | KATHARINE ANN CAGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51821) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF68655) |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-03-08 |