| NPI | 1467005645 |
|---|---|
| Former Name | LAURYN LEIGH RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8567) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-03-19 |