NPI | 1124731559 |
---|---|
Other Name | LISA DOCKERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246YR1600X Spec/Tech, Health Info, 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 |