| NPI | 1326004326 |
|---|---|
| Former Name | LISA G ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 17698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 003906) |
| 101YP2500X Counselor, Professional (Licence: NC 17698) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2025-06-03 |