| NPI | 1861972622 |
|---|---|
| Former Name | LAUREN NICHOLE TONGISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 6769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2021-03-22 |