| NPI | 1891183455 |
|---|---|
| Former Name | LYNDSEY CLEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1994) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE p-1226) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2019-07-09 |