| NPI | 1538110614 |
|---|---|
| Professional Name | LAURA THEODOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MA 7026) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 7026) |
| 103TC0700X Psychologist Clinical (Licence: NY 009601) | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2009-12-15 |