| NPI | 1093951709 |
|---|---|
| Former Name | LISA WEICHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 3928) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 1039) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2024-03-26 |