| NPI | 1992716708 |
|---|---|
| Former Name | JOSAYLON LUCAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 109MLAP) |
| 101YP2500X Counselor, Professional (Licence: AL 4806) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-18 |