| NPI | 1497301980 |
|---|---|
| Former Name | LAUREN ELIZABETH MCMANUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC009040) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: PA 4201685) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |