| NPI | 1427225473 |
|---|---|
| Former Name | LAURA BOOTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC3190) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2022-03-14 |