NPI | 1811199797 |
---|---|
Former Name | LAURI ANN MCINTYRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 12097) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00058033) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2024-07-01 |