| NPI | 1124353404 |
|---|---|
| Former Name | LAURA KRISTEN LANGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5073) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 6448) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2022-01-25 |