| NPI | 1487103966 |
|---|---|
| Former Name | LAUREN DEVLIN REISER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 86722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86722) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2019-01-08 |