| NPI | 1235454869 |
|---|---|
| Former Name | LILLIAN CARMEN GUTHRIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 3931) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 2354) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2015-12-18 |