| NPI | 1598087058 |
|---|---|
| Other Name | LISA KJOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7103-226) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 11062-125) |
| 103TS0200X Psychologist, School (Licence: WI 62616466) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2024-07-11 |