| NPI | 1972817757 |
|---|---|
| Former Name | LAURA PHILIPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY4089) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY23621) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2014-09-08 |