NPI | 1316188121 |
---|---|
Former Name | KATHRYN KIM MULLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MS 591032) |
Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: AL 1577) |
103TH0004X Psychologist, Health (Licence: DC 7393) | |
Enumeration Date | 2009-03-09 |
Last Update Date | 2022-02-01 |