| NPI | 1528498680 |
|---|---|
| Former Name | LAURA HAINES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 66254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2022-02-15 |