NPI | 1548447626 |
---|---|
Former Name | LACEE LOVELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73044) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 33845) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2017-03-22 |