| NPI | 1760678585 |
|---|---|
| Former Name | LISA SHIRLEY SCHMIESING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 553) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 10810) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2008-10-16 |