| NPI | 1871228221 |
|---|---|
| Former Name | LORI ANN CARMONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 84405) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 84405) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2024-09-26 |