| NPI | 1871895250 |
|---|---|
| Professional Name | LISA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC3402) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2015-10-20 |