NPI | 1497187736 |
---|---|
Former Name | LAUREN N DECAPORALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019809-1) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 19809) |
Enumeration Date | 2013-08-08 |
Last Update Date | 2023-07-06 |