| NPI | 1982177762 |
|---|---|
| Former Name | LORI MATTINGLY BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 139097) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 106316) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2023-04-21 |