| NPI | 1316043615 |
|---|---|
| Former Name | LISA J. LAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 2902) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2902) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-07-13 |