| NPI | 1649668120 | 
|---|---|
| Former Name | LAUREN JANKURA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-16172)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701012317)  | 
| 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00216398)  | |
| Enumeration Date | 2015-01-06 | 
| Last Update Date | 2024-11-22 |