| NPI | 1669874400 |
|---|---|
| Professional Name | LORI PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6454) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK U/S) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2019-12-19 |