NPI | 1639561657 |
---|---|
Former Name | LISA MARIE PULSIFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 75277) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW75277) |
Enumeration Date | 2015-02-27 |
Last Update Date | 2022-12-06 |