| NPI | 1235959933 |
|---|---|
| Former Name | LAUREN RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS020086) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical (Licence: NJ 35SI00741600) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |