| NPI | 1124731559 |
|---|---|
| Other Name | LISA DOCKERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246YR1600X Specialist/Technologist, Health Information Registered Record Administrator |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 106H00000X Marriage & Family Therapist | |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |