NPI | 1689174666 |
---|---|
Former Name | KATHERINE LAWRENCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08085) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS018405) |
Enumeration Date | 2018-02-16 |
Last Update Date | 2021-11-11 |