| NPI | 1982946786 |
|---|---|
| Former Name | KATELIN CHRISTINE MCCOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60553225) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2015-04-17 |