| NPI | 1588897714 |
|---|---|
| Former Name | LISA M DIAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 16666) |
| 101YM0800X Counselor, Mental Health (Licence: TX 16666) | |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2020-11-10 |