| NPI | 1700637717 |
|---|---|
| Former Name | LISA MARIE FLOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 134639-121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 134639-121) |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2026-06-16 |