| NPI | 1720616840 |
|---|---|
| Former Name | LAUREN WALTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME167722) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-07-30 |