NPI | 1508223413 |
---|---|
Former Name | KATHRYN GABRIELLE FISHMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 68621) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 84942) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2025-05-16 |