| NPI | 1255609954 |
|---|---|
| Former Name | LACEY L YORK-SHUMAKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2010029493) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2010029493) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2019-08-07 |