| NPI | 1679233837 |
|---|---|
| Former Name | LAUREN ALICIA ELIZABAETH BROCKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ lpc-23086) |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-09-16 |