NPI | 1467185538 |
---|---|
Former Name | LINDSEY NICOLE LANDRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: LA 1667) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2022-07-06 |
Last Update Date | 2024-02-19 |