| NPI | 1124484928 |
|---|---|
| Former Name | LAUREN ROBERTS STIDGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL 3751) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 3751) |
| 101Y00000X Counselor (Licence: AL C2514A) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2019-03-15 |