| NPI | 1659776508 |
|---|---|
| Former Name | LAURA FARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60877239) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-07-10 |