| NPI | 1386830255 |
|---|---|
| Professional Name | LAZANE SHERILYN WALLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 15910) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 8802) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2012-07-24 |