| NPI | 1194028175 |
|---|---|
| Former Name | LISA M PREUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2005024750) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2022-07-12 |