NPI | 1164551750 |
---|---|
Former Name | LAURA C HAGGIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8154) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 2366) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-03-21 |