| NPI | 1942505748 |
|---|---|
| Former Name | LORI MASTERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: ID LMFT6812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LMFT6812) |
| 101YM0800X Counselor, Mental Health (Licence: MT BBHLMFTLIC37351) | |
| 106H00000X Marriage & Family Therapist (Licence: MT BBH-LMFT-LIC-37351) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2025-02-01 |