| NPI | 1598015786 |
|---|---|
| Former Name | KATHLEEN ALICE JOACHIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6004) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2016-09-01 |