| NPI | 1114407897 |
|---|---|
| Former Name | LISA M SWEERE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 304301) |
| 101YP2500X Counselor, Professional (Licence: MN 2281) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2021-01-29 |