NPI | 1083866115 |
---|---|
Former Name | ANDREA L LANNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03867) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2021-07-19 |