| NPI | 1154663706 |
|---|---|
| Former Name | CYNTHIA VERN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 10101) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 3212) |
| 101YM0800X Counselor, Mental Health (Licence: NC 10101) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2020-01-06 |