NPI | 1699939793 |
---|---|
Former Name | LINDSEY M ROOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301014457) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301013901) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2012-09-14 |