| NPI | 1750856050 |
|---|---|
| Former Name | LISA MARIE DODGION |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2023-06-28 |