NPI | 1497850051 |
---|---|
Former Name | KATHLEEN A AIKENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60947355) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 011927-01) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-05-12 |