NPI | 1265917397 |
---|---|
Former Name | LAUREN BATHAUER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34010256A) |
Additional Taxonomies | 104100000X Social Worker (Licence: IN 33008903A) |
Enumeration Date | 2018-09-25 |
Last Update Date | 2024-01-09 |