NPI | 1750717708 |
---|---|
Former Name | LAURYN ELISSA FRANCIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 10011) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-20531) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2024-01-09 |