NPI | 1922208925 |
---|---|
Former Name | KATIANNE MARIE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TN 3701) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-07-19 |
Last Update Date | 2020-07-06 |