| NPI | 1427702554 |
|---|---|
| Former Name | LAUREN OUTWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 257607) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 257607) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-09-16 |