| NPI | 1073859864 |
|---|---|
| Former Name | LYDIA R WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OR T1013) |
| Enumeration Date | 2012-12-24 |
| Last Update Date | 2022-11-01 |