| NPI | 1164999249 |
|---|---|
| Former Name | LISA CANZATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: SC 6976) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2022-03-13 |