NPI | 1881028694 |
---|---|
Former Name | LAUREN E WOODALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017030629) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2013-08-28 |
Last Update Date | 2022-01-28 |