NPI | 1093238446 |
---|---|
Professional Name | LOLITA R GILMORE-RANDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW008749) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13716) |
Enumeration Date | 2017-07-18 |
Last Update Date | 2023-12-21 |