| NPI | 1700949047 |
|---|---|
| Former Name | LISA DAWN DUNAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.014874) |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-03-15 |