| NPI | 1679764195 |
|---|---|
| Former Name | LAUREN JANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1332) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MT 0503919824117) |
| 101YP2500X Counselor, Professional (Licence: WY 374) | |
| 101YP2500X Counselor, Professional (Licence: MN cc00384) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2014-02-25 |