| NPI | 1457798456 |
|---|---|
| Former Name | LIA KIRSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60820123) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: WA LW60820123) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2018-09-13 |