| NPI | 1710411244 |
|---|---|
| Former Name | LAURA MCINTIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: KY 266047) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 4901) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-12-08 |