| NPI | 1528690427 |
|---|---|
| Former Name | DEBORAH LYNN LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7596-125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16396-131) |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2023-09-12 |