| NPI | 1376045575 |
|---|---|
| Former Name | KATHALEEN HOEMBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 6974) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 2829) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2023-12-07 |