NPI | 1386908309 |
---|---|
Former Name | BROOKE LAJOIE LA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL Sw12031) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-06-25 |
Last Update Date | 2022-02-11 |