NPI | 1447835798 |
---|---|
Former Name | KATHERINE JEMIOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 024042) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 024042) |
Enumeration Date | 2021-03-17 |
Last Update Date | 2023-05-31 |