| NPI | 1639485428 |
|---|---|
| Former Name | LISA RENAE TRZEBIATOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7682-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10795) |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2022-07-21 |