| NPI | 1972854974 |
|---|---|
| Former Name | KATHERINE A BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15776-131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1166-226) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2013-06-26 |