| NPI | 1528397288 |
|---|---|
| Former Name | SHANNON C LURA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA 30687) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103T00000X Psychologist (Licence: ND 446) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2024-04-17 |