| NPI | 1225523921 |
|---|---|
| Former Name | LAUREN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801111188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: NC P012630) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2024-11-04 |