| NPI | 1871852657 |
|---|---|
| Former Name | LISA MICHELLE STANTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65257) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 33446) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2015-09-24 |