NPI | 1811760028 |
---|---|
Other Name | ZOOEY KATHERYN HATJES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR THW00110295) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-4454) |
Enumeration Date | 2023-10-31 |
Last Update Date | 2024-06-23 |