| NPI | 1750687877 |
|---|---|
| Former Name | KATHLEEN DINE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 130426) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: KY 1125) |
| 103TC0700X Psychologist Clinical (Licence: IN 20041479A) | |
| 103TC0700X Psychologist Clinical (Licence: NC 6291) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2023-01-19 |