NPI | 1093202582 |
---|---|
Former Name | LAUREN EILEEN KNAUF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007315) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1545) |
103TC0700X Psychologist, Clinical (Licence: NH 1545) | |
Enumeration Date | 2018-04-19 |
Last Update Date | 2023-11-21 |