| NPI | 1194846253 |
|---|---|
| Other Name | BETH LUSBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 30807) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 30807) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |