| NPI | 1407482110 |
|---|---|
| Former Name | LACI LEE UNRUH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72642) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 11497) |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2025-01-23 |