Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 4855 | NC |
NPI | 1003039884 |
---|---|
Provider Name | Paula Katz |
First Address | Greensboro, NC 27403-4443 |
Second Address | Greensboro, NC 27403-4443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |