NPI | 1598326134 |
---|---|
Former Name | LAURA JANE OBERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14295) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC 14925) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2024-12-30 |