| NPI | 1952566622 |
|---|---|
| Other Name | LIGHTED PATH RECOVERY SERVICES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NE 619) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 660) |
| 101YM0800X Counselor, Mental Health (Licence: NE 3008) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2011-02-06 |