Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 6301011714 | MI |
NPI | 1003033796 |
---|---|
Provider Name | Ms. Lori Ann Little |
First Address | Farmington Hills, MI 48334-3297 |
Second Address | Farmington Hills, MI 48335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 01/05/2009 |