NPI | 1881126704 |
---|---|
Former Name | KATHRYN MOYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA pc009577) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00577700) |
101YM0800X Counselor, Mental Health (Licence: NY 004902) | |
Enumeration Date | 2017-03-30 |
Last Update Date | 2021-07-11 |