| NPI | 1821538273 |
|---|---|
| Former Name | LISA MARIE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2019-03-26 |