| NPI | 1023303476 |
|---|---|
| Former Name | LAURA MARIE CRUZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC9361) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP7068) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2019-03-26 |