NPI | 1841305406 |
---|---|
Former Name | LAURA WILLIAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM CCMH0193751) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ lpc-1576) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2021-05-12 |