| NPI | 1285958603 |
|---|---|
| Former Name | KATHERINE ANN KLUSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 3752) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: VA 0810002792) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2011-03-31 |