| NPI | 1891742540 |
|---|---|
| Former Name | KATHLEEN KEELY MCCANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY202777) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2003023860) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2014-02-21 |