| NPI | 1114258068 |
|---|---|
| Former Name | JENNIFER L LYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95304) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW64199) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2020-08-19 |