| NPI | 1982310603 |
|---|---|
| Former Name | LAUREN ELIZABETH ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-03-07 |