| NPI | 1477836047 |
|---|---|
| Former Name | LAURA ANNE ROOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0030740) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981129) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |