| NPI | 1770304990 |
|---|---|
| Other Name | LORI ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: TX 18020) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14620) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |