| NPI | 1386895902 |
|---|---|
| Former Name | LAURA MARIE HAGEBUSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3165) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 0) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: IA 101976) | |
| 1041C0700X Social Worker, Clinical (Licence: KS 11783) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2023-01-13 |