| NPI | 1720859390 |
|---|---|
| Former Name | LISA ELLEN ALLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A19553) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2024-04-04 |