NPI | 1427421932 |
---|---|
Former Name | KATELYN HODGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 170300000X Genetic Counselor, MS (Licence: IN 74000100A) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 74000100A) |
Enumeration Date | 2015-11-05 |
Last Update Date | 2022-07-05 |