NPI | 1710247135 |
---|---|
Former Name | LAURIE ANN WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: TX 72379) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: 14891) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 12175) | |
Enumeration Date | 2012-05-18 |
Last Update Date | 2022-09-01 |