NPI | 1306085451 |
---|---|
Former Name | KATHLEEN E HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 6085) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: OH 6085) |
Enumeration Date | 2009-02-12 |
Last Update Date | 2009-11-11 |