| NPI | 1801588181 |
|---|---|
| Former Name | KATHERINE JEANNETTE BOLDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 491979) |
| Enumeration Date | 2023-05-24 |
| Last Update Date | 2025-11-07 |