| NPI | 1821533035 |
|---|---|
| Former Name | LAUREN SHALANE HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61000117) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc01367) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2024-04-22 |