| NPI | 1861627523 |
|---|---|
| Former Name | KATHRYN GRACE CHENEY FORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 264789) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2021-12-26 |