| NPI | 1265086458 |
|---|---|
| Former Name | CAROLYN R LAKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600536) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 162182) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.130141) | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-08-02 |