| NPI | 1578786505 |
|---|---|
| Former Name | LAURA JO POMEROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T0702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 39359) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-01-06 |