| NPI | 1386811636 |
|---|---|
| Former Name | KERRI KATHERINE KALIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 44505) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2013-07-08 |