NPI | 1093973620 |
---|---|
Former Name | CAROLINE JOAN KENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003561) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 017913-1) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2019-01-10 |