| NPI | 1972855930 |
|---|---|
| Former Name | LORELEI ELIZABETH SIMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP6950) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36261) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS018513) | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2023-10-05 |