| NPI | 1407520356 |
|---|---|
| Former Name | MARY K LYNCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IN 20043316A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20043316A) |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2022-03-31 |