| 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 |