| NPI | 1649048943 |
|---|---|
| Former Name | LAURA JEAN DEINHARDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |