NPI | 1548709520 |
---|---|
Former Name | LORNA RAE STEINERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 2617) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 106) |
Enumeration Date | 2017-02-23 |
Last Update Date | 2017-02-23 |