NPI | 1881980845 |
---|---|
Former Name | LAUREN E SUTHERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 216080) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 216080) |
Enumeration Date | 2011-06-28 |
Last Update Date | 2014-07-31 |