| NPI | 1457731556 |
|---|---|
| Former Name | LAURA THIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60443839) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LW60443839) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2020-02-25 |