| NPI | 1386801777 |
|---|---|
| Former Name | LAURA ANN BOROS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6361004931) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6361004931) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2024-06-10 |