| NPI | 1275738700 |
|---|---|
| Former Name | TERRI R LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 3624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1341) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2011-01-06 |