| NPI | 1316568520 |
|---|---|
| Former Name | CHRISTINE J LAURINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-02-28 |