| 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 |