| NPI | 1528688082 |
|---|---|
| Former Name | KATRINA SPEED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: GA 4609) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 024223) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2022-06-27 |