| NPI | 1629513502 |
|---|---|
| Former Name | LYNNETTE WHIPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NE 7130) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 11078) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2016-12-30 |