| NPI | 1942870894 |
|---|---|
| Former Name | KATHERINE ANN MIKKELSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 128591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2025-08-25 |