| NPI | 1710410220 |
|---|---|
| Former Name | LISA SHAPIRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801098140) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150101323) |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801098140) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-06-11 |