| NPI | 1699003657 |
|---|---|
| Former Name | LAURA J MIDDLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 081971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 079943-1) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2018-08-08 |