NPI | 1124410345 |
---|---|
Former Name | LAUREN TAYLOR HOLBROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 6503) |
Additional Taxonomies | 104100000X Social Worker (Licence: TN 6808) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2017-03-27 |