Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1336657923 |
---|---|
Provider Name | Lauren Elizabeth Flynn |
First Address | Orlando, FL 32804-1330 |
Second Address | Orlando, FL 32804-1330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2018 |
Last Update Date | 17/01/2018 |