| NPI | 1356824957 |
|---|---|
| Former Name | LAURA POLLARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10015-125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4101-226) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2022-07-12 |