| NPI | 1336867670 |
|---|---|
| Former Name | LISA BURLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2501006) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A2206021) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2025-05-12 |