| NPI | 1477883668 |
|---|---|
| Former Name | MARY D.C. LAUTERBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TN 2889) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: TN P2889) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2017-10-30 |