NPI | 1669723235 |
---|---|
Former Name | LAUREN CALDWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0007527) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-09-24 |
Last Update Date | 2022-07-21 |