| NPI | 1245521459 |
|---|---|
| Former Name | LINDA M POTTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361007186) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012716) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2022-03-03 |