NPI | 1629448386 |
---|---|
Former Name | CATHLEEN AISLINN SCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3333) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-10-06 |
Last Update Date | 2021-09-10 |