| NPI | 1104937598 |
|---|---|
| Former Name | LAURA KRISTEN RAFFERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2496) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC45994) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-03-17 |