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 |