NPI | 1477928620 |
---|---|
Former Name | KATHERINE CHARLOTTE MARSHALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NC 5862) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NC 5862) |
Enumeration Date | 2015-12-13 |
Last Update Date | 2024-04-30 |