| NPI | 1649538281 |
|---|---|
| Former Name | LISA BETH MAIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9367) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2014-01-02 |