| NPI | 1861957565 |
|---|---|
| Former Name | LORRI JEAN THIEMENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60979383) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60816752) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SC60705659) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-12-26 |