| 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 |