NPI | 1053481358 |
---|---|
Former Name | KATHY S WURSTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015696) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2006-11-08 |
Last Update Date | 2017-01-18 |