NPI | 1447762414 |
---|---|
Former Name | DIANA LYNN LORBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79082) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14152) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2021-07-12 |