NPI | 1225101298 |
---|---|
Former Name | LAURA B LITTLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P6547) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY 1227) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2023-01-05 |