NPI | 1215527510 |
---|---|
Former Name | LAUREN GENGLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-22802) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001645) |
101YP2500X Counselor, Professional (Licence: CO LPC.0015874) | |
Enumeration Date | 2021-01-20 |
Last Update Date | 2024-02-27 |