| NPI | 1912241233 |
|---|---|
| Former Name | KATIE J RICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 11486762-6004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0011830) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2020-04-09 |