NPI | 1578000360 |
---|---|
Former Name | VALERIE LAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH19244) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2017-01-31 |
Last Update Date | 2020-12-01 |