| NPI | 1982057717 |
|---|---|
| Former Name | LAUREN STUART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301019551) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301017142) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6351004645) | |
| 247200000X Technician, Other | |
| Enumeration Date | 2016-07-17 |
| Last Update Date | 2024-09-03 |