| NPI | 1437390234 |
|---|---|
| Former Name | LAURA LEE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AL 1558) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: AL 1558) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2026-04-13 |