| NPI | 1801429139 |
|---|---|
| Former Name | LAUREN DENISE CANTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 3105) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2022-12-06 |