| NPI | 1326376617 |
|---|---|
| Former Name | LISA ANN VANDENRAADT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 105746) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT 62190) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2023-04-25 |