NPI | 1114697273 |
---|---|
Former Name | LAUREN BYARS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801103940) |
Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801103940) |
Enumeration Date | 2021-09-20 |
Last Update Date | 2025-09-22 |