| NPI | 1831702026 |
|---|---|
| Former Name | LISA FLOOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 32187) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSB94025435) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-06-01 |