NPI | 1922346303 |
---|---|
Former Name | LAUREN ALICE CAPEWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 97167) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2013-01-20 |
Last Update Date | 2020-11-16 |