NPI | 1780930271 |
---|---|
Former Name | KATHLEEN DARRAGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 10258) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-08-02 |
Last Update Date | 2017-01-30 |