| NPI | 1417122516 |
|---|---|
| Former Name | LAURA EUBANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61179737) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 2061) |
| 101YP2500X Counselor, Professional (Licence: CO 6306) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2025-02-20 |