| NPI | 1083048607 |
|---|---|
| Former Name | HEATHER MARIE LASKARIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY12070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: OR 2998) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2023-12-15 |