| NPI | 1891346094 |
|---|---|
| Former Name | KATRINA LYNN ORDWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |