| NPI | 1881435709 |
|---|---|
| Former Name | LISA M BRANCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-05 |