| NPI | 1982226130 |
|---|---|
| Other Name | KATELYN ANNE FOWLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 011328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 102427-01) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-08-27 |