NPI | 1891346094 |
---|---|
Former Name | KATRINA LYNN ORDWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW24426) |
Additional Taxonomies | 101Y00000X Counselor |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2019-09-27 |
Last Update Date | 2025-07-01 |