NPI | 1174645626 |
---|---|
Former Name | LAURA NEEDHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P0305019) |
Additional Taxonomies | 103T00000X Psychologist (Licence: AR 11-14E) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2020-08-17 |