NPI | 1639841075 |
---|---|
Former Name | LORI TRENDLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS019415) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS019415) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS019415) | |
Enumeration Date | 2021-10-04 |
Last Update Date | 2021-10-04 |