| NPI | 1780816603 |
|---|---|
| Former Name | KATHERINE R PEDRAZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC S9956) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-1406) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CCS-10965) | |
| 101YM0800X Counselor, Mental Health (Licence: NC CCS-10965) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-12-15 |