NPI | 1114202975 |
---|---|
Former Name | LAURA B MOSTEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC016950) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2011-10-12 |
Last Update Date | 2024-04-08 |