| NPI | 1902139603 |
|---|---|
| Professional Name | LORI KIM LICHTE-BRILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: UT 7796313-2501) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2015-05-24 |