NPI | 1780921114 |
---|---|
Former Name | LINDSAY MARIE MCDONALD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WI 3190) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WI 3190-57) |
Enumeration Date | 2013-01-04 |
Last Update Date | 2021-01-21 |