| NPI | 1659502094 |
|---|---|
| Former Name | LOIS ANN EATON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042584A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042584A) |
| 103TF0200X Psychologist, Forensic (Licence: IN 20042584A) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2016-05-27 |