| NPI | 1760715148 |
|---|---|
| Former Name | LAURA MARIE STORM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-03-27 |