| NPI | 1700368974 |
|---|---|
| Former Name | LAUREN ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 112843) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 94773) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-07-12 |