NPI | 1023352523 |
---|---|
Former Name | LAUREN HOGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 87205) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA IMF71088) |
Enumeration Date | 2012-11-21 |
Last Update Date | 2018-09-27 |