| NPI | 1598077737 |
|---|---|
| Former Name | LAUREN PALAZZOLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60806123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60800543) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301012102) | |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2021-03-22 |