| NPI | 1669141594 |
|---|---|
| Former Name | NATALIE LAUREN MATHENY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008182) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11687-PY-PR) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2026-01-16 |