NPI | 1831684976 |
---|---|
Former Name | KATHERINE LEVY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2024-06-21 |