NPI | 1831253665 |
---|---|
Former Name | LAURA J. LAMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1464) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 78) |
Enumeration Date | 2006-12-19 |
Last Update Date | 2016-09-09 |