| NPI | 1659654846 |
|---|---|
| Former Name | LISA R WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA CW019882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW128848) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019882) | |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2022-06-30 |