| NPI | 1184803447 |
|---|---|
| Former Name | LAURIE TELLEFSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2009-07-26 |