NPI | 1396041877 |
---|---|
Other Name | LAURIE GELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401018000) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401012651) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2020-02-04 |