NPI | 1053794958 |
---|---|
Former Name | LAUREN JUNCER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6213-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 6213) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2018-03-15 |