NPI | 1316968712 |
---|---|
Former Name | LAURA DAWN DOERING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000006716) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004024323) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2023-01-06 |