NPI | 1700919685 |
---|---|
Former Name | CHERYL JUDEE KATNIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: CA psy21801) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA 103T00000X) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-02-04 |