| NPI | 1679758494 |
|---|---|
| Former Name | LAURA BIRNIE-CLARKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT4115) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT LADC000801) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2022-04-13 |