| NPI | 1912137845 |
|---|---|
| Former Name | REAGAN JANE LORENZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00175) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ND 499-1-1-04-155) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2015-08-24 |