| NPI | 1760996391 |
|---|---|
| Former Name | LISA MARIE CHRISTOFFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 089395) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2022-02-18 |