| NPI | 1801091749 |
|---|---|
| Former Name | LAURA JANELLE CHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12047) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 001175) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-11-25 |