NPI | 1194247924 |
---|---|
Former Name | LAURA SIGRIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0005550) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60474608) |
101YP2500X Counselor, Professional (Licence: CO 5550) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |