| NPI | 1073871505 |
|---|---|
| Former Name | KATIE PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9067) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| 103TF0200X Psychologist, Forensic | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9067) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2016-02-02 |