| NPI | 1477648574 |
|---|---|
| Former Name | LAURA ELLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 926028) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2000152228) |
| 1041C0700X Social Worker Clinical (Licence: KS 3547) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-01-05 |