| NPI | 1003100512 |
|---|---|
| Former Name | LAUREL SHUSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810002101) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025329) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2024-11-04 |