NPI | 1790111995 |
---|---|
Former Name | KATHERINE CLAIRE LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042671A) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20042671A) |
103TF0000X Psychologist, Family (Licence: IN 20042671A) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2013-09-19 |