| NPI | 1760528996 |
|---|---|
| Former Name | LAURA DANIELLE GUIGNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 20040058013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO LCSW2004005801) |
| 101YS0200X Counselor, School (Licence: MO LCSW2004005801) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-12-18 |