| NPI | 1245650142 |
|---|---|
| Former Name | LISA DRAKE KRUZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 6401013883) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MI 6401013883) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-09-12 |