NPI | 1780562124 |
---|---|
Former Name | LAURA FITZGERALD ATKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8925) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC ADC-2331) |
Enumeration Date | 2025-08-25 |
Last Update Date | 2025-08-25 |