NPI | 1316079510 |
---|---|
Former Name | LAUREN ELIZABETH HIRSHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 25793) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 20796) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2017-03-14 |