NPI | 1255842233 |
---|---|
Former Name | LAUREN NICOLE LEWARK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-10-18 |
Last Update Date | 2022-06-29 |