| NPI | 1043540560 |
|---|---|
| Former Name | LAUREN KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 004314) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2023-12-07 |