| NPI | 1265528756 |
|---|---|
| Former Name | KATHLEEN ROSEMARIE DEMARAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MI 4704110454) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |