| NPI | 1700283207 |
|---|---|
| Former Name | LISA FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC014395) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: OR C460) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2025-04-22 |