| NPI | 1790063105 |
|---|---|
| Former Name | KATHLEEN CARTER ISLAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001574) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2022-09-09 |