NPI | 1356710685 |
---|---|
Former Name | LAURA WALSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 111781) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2015-09-16 |
Last Update Date | 2024-01-16 |