| NPI | 1508116658 |
|---|---|
| Former Name | KATIE POOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071009055) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2022-12-08 |