NPI | 1609007913 |
---|---|
Former Name | LAURA LOUISE STARK-KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15188) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 15188) |
Enumeration Date | 2009-08-04 |
Last Update Date | 2023-08-02 |