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 |