| NPI | 1588692677 |
|---|---|
| Former Name | KATHRINE BAKKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS009060L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS009060L) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2016-06-10 |