| NPI | 1356880728 |
|---|---|
| Former Name | LAURA FRANCES KNIZLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA APC005810) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: GA AMFT000466) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |