| NPI | 1366745895 |
|---|---|
| Former Name | LAURIE ANNE BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 23232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117113) |
| Enumeration Date | 2010-12-05 |
| Last Update Date | 2024-03-16 |