NPI | 1457549651 |
---|---|
Former Name | LISA NICOLE PFAFFINGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OR 2395) |
Enumeration Date | 2007-10-12 |
Last Update Date | 2014-02-21 |