NPI | 1932433497 |
---|---|
Former Name | LISA DAWN BURROWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 018175-1) |
Enumeration Date | 2009-09-30 |
Last Update Date | 2021-02-07 |