NPI | 1578988184 |
---|---|
Former Name | KATELYN JAMES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KY 276187) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: KY 272408) | |
Enumeration Date | 2014-02-19 |
Last Update Date | 2022-09-27 |