| NPI | 1396002374 |
|---|---|
| Former Name | KATHERINE RENEE OVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WY 648) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2022-01-13 |