| NPI | 1306354428 |
|---|---|
| Former Name | LAUREN ELIZABETH HAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 103807) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103807) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 103807) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2021-03-29 |