| NPI | 1174734834 |
|---|---|
| Former Name | LISA KATHLEEN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-08-29 |