NPI | 1417064684 |
---|---|
Former Name | KATHLEEN M WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1129) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 618) |
101YM0800X Counselor, Mental Health (Licence: MA 5599) | |
101YM0800X Counselor, Mental Health (Licence: ME CC2312) | |
101YM0800X Counselor, Mental Health (Licence: IL 180-003812) | |
Enumeration Date | 2006-08-24 |
Last Update Date | 2010-08-10 |