| NPI | 1811370570 |
|---|---|
| Former Name | LISA NICOLE VROMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MI 6301016551) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2017-09-11 |