| NPI | 1598996472 |
|---|---|
| Former Name | LAUREN ASHLEY NYSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 007263) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IA 007262) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2023-04-19 |