| NPI | 1275604720 |
|---|---|
| Former Name | KATHLEEN KILEY WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 3820) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 20921) |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-09-01 |