| NPI | 1528875440 |
|---|---|
| Other Name | LYS RAE POTTS |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |