| NPI | 1588899090 |
|---|---|
| Other Name | LISA DRAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 093658) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: NY 101227) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-06-28 |