NPI | 1396758439 |
---|---|
Former Name | STEPHANIE COBB LAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1664) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NE 89) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2012-11-16 |