NPI | 1427868066 |
---|---|
Former Name | LAURA LEE M DURFEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA PLC10742) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-78374) |
Enumeration Date | 2025-01-07 |
Last Update Date | 2025-07-08 |