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 |