NPI | 1356725238 |
---|---|
Former Name | LAURA CAMERON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801106620) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34007927A) |
101Y00000X Counselor | |
Enumeration Date | 2015-07-10 |
Last Update Date | 2020-04-01 |