| NPI | 1245685577 |
|---|---|
| Former Name | LAUREL SHAFTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09884) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX LCSW-62436) |
| Enumeration Date | 2016-04-23 |
| Last Update Date | 2022-01-04 |