NPI | 1952879454 |
---|---|
Former Name | KATHERINE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60935995) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60305736) |
Enumeration Date | 2018-11-02 |
Last Update Date | 2023-01-02 |