NPI | 1942238001 |
---|---|
Former Name | LAURA BLOCK LOWER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MT 1129) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MT BBH-LCPC-LIC-1129) |
Enumeration Date | 2006-06-29 |
Last Update Date | 2024-03-22 |