| NPI | 1750883872 |
|---|---|
| Former Name | LAUREN JUSTINE YOUNG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017648) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700511) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-11-23 |