| NPI | 1952450538 |
|---|---|
| Former Name | CAROLYN R JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 082) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 0063) |
| 103TC0700X Psychologist, Clinical (Licence: KS 0355) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |