| NPI | 1972874261 |
|---|---|
| Former Name | KATHERINE ELIZABETH WALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35002080A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2025-02-06 |