| NPI | 1669807111 |
|---|---|
| Former Name | LORI BETH HAASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CA 25817) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 25817) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2024-04-25 |