| NPI | 1407429830 |
|---|---|
| Former Name | LISA JEANNE MAURINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004014A) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: IN 1448119) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |