| NPI | 1942505748 |
|---|---|
| Former Name | LORI SUZANNE MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA LF60330019) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LF60330019) |
| 101YM0800X Counselor Mental Health (Licence: WA LF60330019) | |
| 101YP2500X Counselor Professional (Licence: WA LF60330019) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2020-06-03 |