NPI | 1396026431 |
---|---|
Former Name | LISA M DUNCAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: VA 0717001833) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701010706) |
101Y00000X Counselor (Licence: AR P2011105) | |
101YM0800X Counselor Mental Health (Licence: MO 2013014601) | |
106H00000X Marriage & Family Therapist (Licence: MD LCM991) | |
Enumeration Date | 2011-09-02 |
Last Update Date | 2025-05-13 |