| NPI | 1275721326 |
|---|---|
| Former Name | LISA ANNE SEMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 52107) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 54523) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2023-09-11 |