| NPI | 1356366397 |
|---|---|
| Former Name | KATHLEEN SHINGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015819) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS015819) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-09-02 |