| NPI | 1265733208 |
|---|---|
| Former Name | LISA J. DEHAHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC2672) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ME LC3707) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2015-01-23 |