NPI | 1548560915 |
---|---|
Former Name | LAURA CATHERINE SHARP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4411) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 577) |
Enumeration Date | 2010-11-01 |
Last Update Date | 2016-08-01 |