| NPI | 1710118054 |
|---|---|
| Former Name | KATHRYN ANNE WYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP6151) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN LP6151) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005336) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-07-18 |