| NPI | 1952586745 |
|---|---|
| Former Name | KATHLEEN E WOODS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP4891) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP4891) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: MN LP4891) | |
| 103TH0100X Psychologist Health Service (Licence: MN LP4891) | |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-07-25 |