| 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 |