NPI | 1417093782 |
---|---|
Former Name | KATHERINE JEAN POLLACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY21056) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY21056) |
Enumeration Date | 2007-01-30 |
Last Update Date | 2024-04-28 |