| NPI | 1902989346 |
|---|---|
| Former Name | KATHARINE ELIZABETH PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA RC00028705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010378) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2012-04-02 |