| NPI | 1043927635 |
|---|---|
| Former Name | LISA NICOLE CIZEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801094751) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801094751) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2024-04-08 |