| NPI | 1609970706 |
|---|---|
| Former Name | LISA IRENE GAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 2006) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0153441) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2026-03-02 |