NPI | 1245724228 |
---|---|
Former Name | LAURA MICHELLE KNOPF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3706) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 3706) |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: OR 3706) | |
Enumeration Date | 2018-06-21 |
Last Update Date | 2024-02-02 |