NPI | 1255192985 |
---|---|
Professional Name | LAUREN MICHELE CARBALLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 203315) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 82121) |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-22 |