| 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 |