NPI | 1780124776 |
---|---|
Former Name | LAURA DRAHOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 008181) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P01065) |
Enumeration Date | 2017-02-24 |
Last Update Date | 2017-10-03 |