| NPI | 1962028175 |
|---|---|
| Former Name | TAYLOR LEIGH LORENZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LC12811) |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2024-09-24 |