| NPI | 1386809960 |
|---|---|
| Former Name | LAURA MANSFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60203649) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 2862) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2021-12-29 |