| NPI | 1093115156 |
|---|---|
| Former Name | LISA BATTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TN 3299) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 486) |
| 103TC1900X Psychologist, Counseling (Licence: TN 3299 (provisional)) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-08-04 |