| 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 |