| NPI | 1386836641 |
|---|---|
| Former Name | LYNN RICHMOND MADDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: PA CWO11620L) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PA CWO11620L) |
| 102L00000X Psychoanalyst (Licence: NJ 44SC00037600) | |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SC00037600) | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |