| NPI | 1952054553 |
|---|---|
| Former Name | GRACE KATHRYN MALONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.010673) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071.010673) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-03-23 |