NPI | 1851193908 |
---|---|
Former Name | LACEY HUTCHISON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: CO 24458974) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 614188A) |
Enumeration Date | 2025-03-26 |
Last Update Date | 2025-03-26 |