| NPI | 1366004251 |
|---|---|
| Other Name | LAUREN HOLLEB SURRETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: ME PS1397) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-09 |