| NPI | 1760720932 |
|---|---|
| Former Name | LAURA SWAAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 4906-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15831-131) |
| 101YM0800X Counselor, Mental Health (Licence: WI 4906-125) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2021-12-08 |