| NPI | 1225336803 |
|---|---|
| Former Name | LAURA FELSTED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7198021-3501) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2015-02-20 |