NPI | 1396123162 |
---|---|
Former Name | LAUREN BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401018592) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-05-13 |
Last Update Date | 2023-11-22 |