| NPI | 1316428683 |
|---|---|
| Former Name | KATHRYN FOUNTAIN MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL 1289) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OR 10505943) |
| 103TS0200X Psychologist, School (Licence: NM 385711) | |
| 103TS0200X Psychologist, School (Licence: GA 707946) | |
| 103TS0200X Psychologist, School (Licence: FL 1284206) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |