| NPI | 1922361781 |
|---|---|
| Former Name | LORI K. BAKARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161328) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2022-10-31 |