| NPI | 1528151115 |
|---|---|
| Former Name | KATHLEEN ELIZABETH SHAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36747) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-0000239) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-01-26 |