NPI | 1972188233 |
---|---|
Former Name | LAURIE CATHERINE AYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61099199) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61125607) |
Enumeration Date | 2021-03-17 |
Last Update Date | 2021-03-17 |