| NPI | 1396059010 |
|---|---|
| Former Name | LAUREN ELIZABETH MANTEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 58428) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 101070505) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2014-05-09 |