NPI | 1720415169 |
---|---|
Former Name | LAURA LOUISE KNOLL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 89833) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 76723) |
Enumeration Date | 2013-09-30 |
Last Update Date | 2019-08-05 |