NPI | 1023159415 |
---|---|
Former Name | LAUREN LUCAS YATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY2701) |
Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY2701) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2007-07-08 |