| NPI | 1184873929 |
|---|---|
| Former Name | LINDSAY DIANE INGRAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361003581) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301013948) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2022-02-22 |