| NPI | 1376932525 |
|---|---|
| Former Name | LISA MARIE BORJA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4266) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61604402) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2025-09-17 |