NPI | 1215358619 |
---|---|
Former Name | LAUREN MOSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009009) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 20222) |
Enumeration Date | 2014-01-02 |
Last Update Date | 2020-08-14 |