| NPI | 1417182031 |
|---|---|
| Former Name | LAURA LYNN DEEMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: PA PC006387) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NY 004912) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2020-01-29 |