| NPI | 1134377583 |
|---|---|
| Former Name | LAURA LEE KIEHLBAUCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AR 4944-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 4944-M) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-01-10 |