| NPI | 1124671763 |
|---|---|
| Former Name | APRIL KAY LISIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW111480) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCSW111480) |
| 104100000X Social Worker (Licence: CA LCSW111480) | |
| 101Y00000X Counselor (Licence: CA LCSW1114) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-01-26 |