NPI | 1376969444 |
---|---|
Former Name | LAURA ALISON GOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2017002828) |
Additional Taxonomies | 104100000X Social Worker (Licence: MO 2010024143) |
Enumeration Date | 2014-03-12 |
Last Update Date | 2020-01-01 |