| NPI | 1366978058 |
|---|---|
| Former Name | LORIE ANNE MAYBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW89921) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW89921) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-06-09 |