| NPI | 1881178663 |
|---|---|
| Former Name | LISA ANN BOGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801087887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801087887) |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2023-11-13 |