| NPI | 1528535895 |
|---|---|
| Former Name | LAUREN KRISTEN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC10836) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC010836) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2025-05-19 |