NPI | 1407097033 |
---|---|
Former Name | LORI L MIMICK-CARDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NE 1909) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 891) |
101YM0800X Counselor, Mental Health (Licence: NE 1369) | |
101YM0800X Counselor, Mental Health (Licence: NE 3849) | |
Enumeration Date | 2009-03-11 |
Last Update Date | 2024-07-02 |