| NPI | 1508022542 |
|---|---|
| Former Name | LAURA MARIE SEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 2323) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 2323) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2022-03-04 |