| NPI | 1497959993 |
|---|---|
| Professional Name | LISA GARCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 300569) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 2107) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |