| NPI | 1609112226 |
|---|---|
| Former Name | LARA LEE COCKRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI HI-1372) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: HI PSY 1372) |
| 103T00000X Psychologist (Licence: TX 39386) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2026-04-30 |