NPI | 1134842651 |
---|---|
Other Name | LISA M ABUBAKR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025008555) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178015826) |
Enumeration Date | 2022-09-20 |
Last Update Date | 2025-03-19 |