| NPI | 1952675118 |
|---|---|
| Former Name | LAUREN GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CP5720-R) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2025-05-05 |