NPI | 1144941618 |
---|---|
Former Name | KATHERINE KOSCHNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2022-09-02 |
Last Update Date | 2022-09-02 |