| NPI | 1851058952 |
|---|---|
| Former Name | KATHRYN M GONZALES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11496) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NM c-11496) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2024-12-23 |