| NPI | 1841073327 |
|---|---|
| Former Name | LAUREN FERN QUAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: GA PSY004723) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-01-10 |