NPI | 1255990222 |
---|---|
Former Name | LAURIE DENISE LAWLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801112327) |
Additional Taxonomies | 104100000X Social Worker |
104100000X Social Worker (Licence: MI 6801104948) | |
Enumeration Date | 2019-06-12 |
Last Update Date | 2021-12-03 |