| NPI | 1942906565 |
|---|---|
| Former Name | LAURA NEIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 57537) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 57176) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |