| NPI | 1396976668 |
|---|---|
| Former Name | LAURIE KATHERINE VEDDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX J9334) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX J9334) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2024-01-30 |