| NPI | 1215141437 |
|---|---|
| Former Name | KATHRYN AMELIA SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017131) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CT 003015) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-12-31 |