| NPI | 1457443426 |
|---|---|
| Former Name | LORRAINE G KIRK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LC1973) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC1973) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-10-31 |