| NPI | 1114119153 |
|---|---|
| Former Name | LISA SILVERTHORN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 1114119153) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2025-05-16 |