NPI | 1225468846 |
---|---|
Former Name | LAUREN LAPORTE SOMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010441) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 366) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2022-08-04 |