NPI | 1871907659 |
---|---|
Former Name | LORI WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005816) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: VA 0717001315) |
Enumeration Date | 2014-06-19 |
Last Update Date | 2014-06-19 |