| NPI | 1851773105 |
|---|---|
| Former Name | KATHERINE A. KLINKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17178-130) |
| 101YP2500X Counselor, Professional (Licence: WI 6118-125) | |
| 101YP2500X Counselor, Professional (Licence: WI 2294-226) | |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2018-09-20 |