| NPI | 1194981902 |
|---|---|
| Former Name | JAMIE LYNN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH 6750) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2025-03-13 |