| NPI | 1669713525 |
|---|---|
| Former Name | LAUREN WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801093706) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2021-07-16 |