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 |