NPI | 1003143710 |
---|---|
Former Name | JEFFIFER LANTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2009-11-17 |
Last Update Date | 2020-11-02 |