NPI | 1144437138 |
---|---|
Former Name | LORI LOWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 3591-123) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 93741) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2016-08-22 |