| NPI | 1033419577 |
|---|---|
| Former Name | LISA GOMME |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0193841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM T-0134911) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2018-05-16 |