| NPI | 1558634485 |
|---|---|
| Former Name | LISA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM PSY-2023-0005) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-07-3856) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2023-09-12 |