| NPI | 1326337965 |
|---|---|
| Other Name | LAURIE K SHANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 100250) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 2915-57) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2020-04-21 |