NPI | 1356497051 |
---|---|
Former Name | LAURA MANUPPELLI LIFSHUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC 11199) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX LMFT 2749) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |