NPI | 1194323022 |
---|---|
Former Name | LAUREN HOFFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015881) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016211) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2024-08-21 |