NPI | 1023316254 |
---|---|
Former Name | BRITTANY LYNN LAKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008093) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
Enumeration Date | 2011-03-12 |
Last Update Date | 2023-07-21 |