NPI | 1881776128 |
---|---|
Former Name | LAURA J SILZLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003466) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001169) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2023-06-27 |