| NPI | 1902640766 |
|---|---|
| Former Name | LYNNETTE JANE WHITSITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20043832A) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: IL 2589645) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |