| NPI | 1477836799 |
|---|---|
| Former Name | LORI ANN WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist School (Licence: AZ 4207) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: AZ 4207) |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: AZ 4207) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-27 |