| NPI | 1104684190 |
|---|---|
| Former Name | LAURA PATRICIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 13807) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 7991) |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-03-13 |