NPI | 1629621735 |
---|---|
Former Name | LAUREN DELANEY MADSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 15001) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A15001) |
Enumeration Date | 2019-07-17 |
Last Update Date | 2021-12-31 |