NPI | 1124456066 |
---|---|
Former Name | LAUREN S BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ME MC16780) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME LC16635) |
Enumeration Date | 2013-10-30 |
Last Update Date | 2019-08-26 |