| NPI | 1144708009 |
|---|---|
| Former Name | MARIA LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4950) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C4950) |
| 101YM0800X Counselor, Mental Health (Licence: UT 8935496-6004-2018091) | |
| 225C00000X Rehabilitation Counselor (Licence: 00116673) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-09-19 |