NPI | 1881966372 |
---|---|
Former Name | LAURA WOODLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 107432) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 71690) |
101Y00000X Counselor | |
Enumeration Date | 2012-01-31 |
Last Update Date | 2018-07-17 |