NPI | 1316262314 |
---|---|
Professional Name | LAURA PEROUTKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2016000468) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 5381) |
Enumeration Date | 2010-04-01 |
Last Update Date | 2016-03-23 |