| NPI | 1720487093 |
|---|---|
| Former Name | LAURA ELIZABETH STONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11014) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24805) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2023-11-13 |