NPI | 1003169939 |
---|---|
Former Name | KATHLEEN KILROY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 114084) |
Enumeration Date | 2012-10-16 |
Last Update Date | 2023-10-31 |