| NPI | 1841497864 |
|---|---|
| Former Name | LAURA JEAN FARMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 4759) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN LP 4759) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-07-10 |