| NPI | 1841358025 |
|---|---|
| Former Name | LISA J MCKIRDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR R1900 (Intern)) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 99-03-21) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2012-01-11 |