NPI | 1598061780 |
---|---|
Other Name | DIANE C.S. KIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OK 1234) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000315) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2016-10-28 |