| NPI | 1841557808 |
|---|---|
| Former Name | LOIS MENKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923565) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1572) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2014-08-21 |