| NPI | 1841843844 |
|---|---|
| Former Name | KATIBETH LYBRAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 266148) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2020-11-04 |