| NPI | 1912452194 |
|---|---|
| Former Name | LAUREN MELISSA SALA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 025878) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 006673-1) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-08-18 |