| NPI | 1609345891 |
|---|---|
| Former Name | KATEY COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NH 1560) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PSB94024549) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2022-01-21 |