| NPI | 1770038747 |
|---|---|
| Former Name | LAURA MARIE CARTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 4140-57) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 3180) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2023-05-15 |