| NPI | 1881051928 |
|---|---|
| Former Name | LAURIE NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MN 12202) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |