NPI | 1174085823 |
---|---|
Former Name | LAURA MOLESKY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303940) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2103673) |
Enumeration Date | 2019-04-02 |
Last Update Date | 2024-02-27 |