| NPI | 1477925709 |
|---|---|
| Former Name | LISA MARIE STRID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60856799) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 303194) |
| 101YP2500X Counselor, Professional (Licence: MN cc01093) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2021-06-25 |