| NPI | 1407545676 |
|---|---|
| Former Name | LISA DIANE KNAKAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6851114769) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6851114769) |
| 1041S0200X Social Worker, School (Licence: MI 6851114769) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |