NPI | 1346738036 |
---|---|
Former Name | LAUREN MICHELLE FARRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303460) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801337) |
Enumeration Date | 2018-04-27 |
Last Update Date | 2023-05-04 |