| NPI | 1538337233 |
|---|---|
| Former Name | KAKI MARIE YORK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1457) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34156) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2009-01-06 |