| 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 |