| NPI | 1407298045 |
|---|---|
| Former Name | LAUREN A LAVENDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH60934238) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MT 7839) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-06-17 |