NPI | 1952709867 |
---|---|
Former Name | KATHERINE NICOLE DANIELS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043356A) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IN 20043356B) |
Enumeration Date | 2014-12-09 |
Last Update Date | 2023-02-01 |