| NPI | 1609926872 |
|---|---|
| Former Name | LISA ORF PUTNAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MO 2006029894) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2019-02-27 |