NPI | 1700142072 |
---|---|
Former Name | LAUREN HEWITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7368) |
Enumeration Date | 2012-04-11 |
Last Update Date | 2023-11-27 |