| NPI | 1225357916 |
|---|---|
| Former Name | NOELLE LANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5371) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2020-06-10 |