| NPI | 1316284219 |
|---|---|
| Former Name | LISA S TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 13128) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2023-03-20 |