| NPI | 1386363539 |
|---|---|
| Professional Name | LACIE MARTINEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 279749) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-12-06 |