| NPI | 1902158918 |
|---|---|
| Former Name | LACY MICHELLE ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11112) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 5544) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |