| NPI | 1790147148 |
|---|---|
| Former Name | LORI PAPPAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1361) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 7485) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-12-27 |