| NPI | 1710929567 |
|---|---|
| Former Name | LAURIE ANN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6361003493) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 012917) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-02-23 |