| NPI | 1346497500 |
|---|---|
| Former Name | KATRINA LOUISE MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2019-01-30 |