NPI | 1043731136 |
---|---|
Former Name | DEANNA SHARON LAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG60897185) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60670084) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-05-25 |