Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 2013008779 | MO |
NPI | 1003252883 |
---|---|
Provider Name | Dr. Katherine Marjorie Kline |
First Address | Saint Charles, MO 63304-1030 |
Second Address | Saint Charles, MO 63304-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 27/10/2020 |