| NPI | 1710198593 |
|---|---|
| Former Name | GRETA MARIE LUTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2936) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 607) |
| 101YP2500X Counselor, Professional (Licence: GA 6849) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-08-06 |