| NPI | 1326382557 |
|---|---|
| Former Name | LAUREN DORNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC 9301) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC #9301) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC LCAS-2834) | |
| 101YM0800X Counselor Mental Health (Licence: NC 9301) | |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2017-01-23 |