NPI | 1932375748 |
---|---|
Former Name | KATHERINE ROSE OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 2361) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6346) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2008-05-01 |