NPI | 1316535008 |
---|---|
Former Name | LAUREN MAGGIORI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WI 8379-125) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2021-01-07 |
Last Update Date | 2022-01-03 |