| NPI | 1750838173 |
|---|---|
| Former Name | LISA EILAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 104301) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.021579) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2022-11-14 |