# KATRINA KANWISCHER-JAGIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417490160
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2016-036A | ND | — |
| 106H00000X | Marriage & Family Therapist | 2019-071 | ND | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 174400000X | Specialist | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 01/23/2025