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 |