| NPI | 1225117856 |
|---|---|
| Former Name | KATHLEEN MAXFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM LPCC4780) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MT 0153) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |