NPI | 1760100333 |
---|---|
Former Name | LAURA SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7869) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2022-08-18 |
Last Update Date | 2023-07-12 |