NPI | 1871087254 |
---|---|
Former Name | LAURA KOMENDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1806) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 2248) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2022-06-29 |