NPI | 1578562757 |
---|---|
Former Name | LAURA CATHERINE RAYMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN LSW4393) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN CSW5270) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2007-07-08 |