| NPI | 1346715091 |
|---|---|
| Professional Name | LISA PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8711) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-08-16 |