NPI | 1629585765 |
---|---|
Former Name | KATE HARRISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10053) |
Additional Taxonomies | 103T00000X Psychologist (Licence: GA PSY004169) |
103T00000X Psychologist (Licence: AL 2272) | |
Enumeration Date | 2018-01-10 |
Last Update Date | 2022-12-15 |