NPI | 1801467725 |
---|---|
Former Name | LAUREN A. MAIZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC LCMHC-16518) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A16518) |
Enumeration Date | 2021-07-02 |
Last Update Date | 2025-09-29 |