NPI | 1689113938 |
---|---|
Former Name | RIAN MARIE LAMB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 6587-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2784-226) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2020-01-09 |