NPI | 1295010569 |
---|---|
Former Name | LISA MARIE BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 79449) |
Additional Taxonomies | 1041S0200X Social Worker, School |
Enumeration Date | 2011-10-18 |
Last Update Date | 2021-06-14 |