NPI | 1346883477 |
---|---|
Former Name | KATHERINE K HOFMEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MI 6361007710) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301018210) |
Enumeration Date | 2019-10-22 |
Last Update Date | 2023-05-24 |