NPI | 1568806685 |
---|---|
Former Name | LAUREN ELIZABETH CAMPBELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924497) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2015007554) |
Enumeration Date | 2013-04-19 |
Last Update Date | 2024-05-29 |