| NPI | 1285037887 | 
|---|---|
| Former Name | LISA LOIS CUEVAS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009305) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009305) | 
| Enumeration Date | 2014-09-27 | 
| Last Update Date | 2025-03-21 |