NPI | 1356482780 |
---|---|
Other Name | LORI G MANSOOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4502) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-09-34) |
Enumeration Date | 2007-02-09 |
Last Update Date | 2015-10-22 |