NPI | 1740635960 |
---|---|
Former Name | CATHERINE JAYNE HERRMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29986) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103TC0700X Psychologist, Clinical (Licence: OR 2695) | |
Enumeration Date | 2016-04-25 |
Last Update Date | 2024-07-11 |