NPI | 1457189268 |
---|---|
Former Name | LAUREN ELIZABETH GILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 100216) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149027201) |
Enumeration Date | 2024-07-23 |
Last Update Date | 2024-07-23 |