| NPI | 1346823788 |
|---|---|
| Former Name | KATHERINE ELIZABETH DOROCIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 32528) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA 32528) |
| 103TC0700X Psychologist, Clinical (Licence: CA 32528) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |