| NPI | 1710377114 |
|---|---|
| Former Name | LAURIE GADDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68580) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 4252) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2022-07-20 |