NPI | 1336672229 |
---|---|
Former Name | JAMES WALTER LAMMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7054-125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3139) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2021-10-08 |