| NPI | 1023419348 |
|---|---|
| Former Name | LISA ANNETTE PAUL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: IL 071.008678) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071008678) |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2026-01-02 |