| NPI | 1184701088 |
|---|---|
| Former Name | TEJUANA L LIPSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7256-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 13881-132) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-09-25 |