NPI | 1609988724 |
---|---|
Former Name | LAUREN ROBERTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH18650) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-000972) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-11-05 |