| NPI | 1477561488 |
|---|---|
| Other Name | LISA ELLEN ANGILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007577) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-03-25 |