NPI | 1790984102 |
---|---|
Former Name | KATHERINE ANN ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NH 195) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001349) |
106H00000X Marriage & Family Therapist (Licence: VT 100.0133995) | |
Enumeration Date | 2007-07-16 |
Last Update Date | 2024-05-03 |