| NPI | 1811309479 |
|---|---|
| Former Name | LAUREN HENSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: AL 1889) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AL 1889) |
| 103TS0200X Psychologist, School (Licence: AL 1889) | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |