NPI | 1669036299 |
---|---|
Former Name | KATE BURGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.07952) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2021-02-12 |