| NPI | 1881950665 |
|---|---|
| Former Name | LAURA THERESE LYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 299418) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101256239) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2021-10-14 |