| NPI | 1720368319 |
|---|---|
| Former Name | LISA ANNE DEHAAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 1213) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2016-10-18 |