NPI | 1093085862 |
---|---|
Former Name | LAUREN E. MCSHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 11564) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11564) |
Enumeration Date | 2012-01-10 |
Last Update Date | 2018-07-23 |