NPI | 1467927053 |
---|---|
Former Name | CORIE L LOISELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-10-10 |
Last Update Date | 2021-06-03 |