| NPI | 1760819320 |
|---|---|
| Former Name | LAURA BEAR CORRIGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY15546) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA PSY15546) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2019-05-16 |