| NPI | 1730499849 |
|---|---|
| Other Name | LISA WOLTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801092235) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02722) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801092235) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2024-05-24 |