NPI | 1710167309 |
---|---|
Former Name | LAURA MICHELLE WARNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 37FI00161100) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
106H00000X Marriage & Family Therapist (Licence: NJ 37FI00161100) | |
Enumeration Date | 2007-11-12 |
Last Update Date | 2023-10-16 |