| NPI | 1073736831 |
|---|---|
| Other Name | JAN M LAVINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 6676) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 266) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |