NPI | 1366721342 |
---|---|
Former Name | CYLEE LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 247610) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KY LPCCCA00223136) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2020-04-09 |