NPI | 1114554805 |
---|---|
Former Name | EMILY LOUISE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61265862) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 305511) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61227096) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-03-04 |