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 |