| NPI | 1265822894 |
|---|---|
| Former Name | LAURA THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0013657) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10330) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000553) | |
| 101YP2500X Counselor, Professional (Licence: AZ LAC-13588) | |
| 101YP2500X Counselor, Professional (Licence: CO LPCC.0014165) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2022-07-11 |