NPI | 1346874856 |
---|---|
Former Name | LORI LIGHTNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401003551) |
Enumeration Date | 2020-02-24 |
Last Update Date | 2020-02-24 |