| NPI | 1184972291 |
|---|---|
| Former Name | LAUREN MARY BOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924274) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 56538) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2023-12-20 |