| NPI | 1073556957 |
|---|---|
| Former Name | LORI ELLEN CARLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32266) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32266) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2022-01-11 |