NPI | 1538457858 |
---|---|
Former Name | VICKI JO LEWIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK LPC05200) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2011-07-20 |
Last Update Date | 2024-03-04 |