| NPI | 1891167920 |
|---|---|
| Former Name | LAUREN GOLLIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 23589) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-03-21 |