| NPI | 1790109064 |
|---|---|
| Former Name | KATHRYN SPORING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R6392) |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MD A00582) | |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2024-01-10 |