| 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 |