| NPI | 1659648434 |
|---|---|
| Former Name | LAUREN MICHELLE RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MA 11848) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MA 219204) | |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2022-07-21 |