| NPI | 1487719191 |
|---|---|
| Former Name | LAUREN D. GROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149016829) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23179) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2014-11-07 |