| NPI | 1043808793 |
|---|---|
| Former Name | LAURIE CORDRAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3172) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2788) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2022-11-23 |