| NPI | 1407024771 |
|---|---|
| Former Name | LISA BETH MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007227) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6692) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |