NPI | 1922217207 |
---|---|
Former Name | KATHLEEN MICHELLE RULKA-HATHAWAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 698-124) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2007-07-08 |