NPI | 1912156431 |
---|---|
Former Name | KATHY HOLTHUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 10570331-6004) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-09-09 |
Last Update Date | 2022-09-20 |