| NPI | 1124416763 |
|---|---|
| Former Name | LISA SALVAGGIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 11660) |
| 101YM0800X Counselor, Mental Health (Licence: RI 01666) | |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2024-05-14 |