| NPI | 1811152994 |
|---|---|
| Former Name | LARA CROWDER-DYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 36382) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY17434) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2012-11-20 |