NPI | 1992001325 |
---|---|
Former Name | KATE LOUISE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY 24064) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 24064) |
Enumeration Date | 2011-02-02 |
Last Update Date | 2012-07-12 |