| NPI | 1134374176 |
|---|---|
| Former Name | MARCY KANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002452) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002459) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2021-11-30 |