| NPI | 1689700544 | 
|---|---|
| Other Name | LORI VAUGHN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 8268)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: NC C013145)  | 
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: SC 8268)  | |
| 106H00000X Marriage & Family Therapist (Licence: SC 8268)  | |
| 101Y00000X Counselor (Licence: SC 8268)  | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 8268)  | |
| 101YM0800X Counselor, Mental Health (Licence: SC 8268)  | |
| 101YP2500X Counselor, Professional (Licence: SC 8268)  | |
| Enumeration Date | 2007-02-26 | 
| Last Update Date | 2021-11-24 |