NPI | 1558094656 |
---|---|
Former Name | LACIE LOWTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9301) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7575) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2025-02-03 |