| NPI | 1881885788 |
|---|---|
| Former Name | LISA TARA PASKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 10791-132) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2015-08-11 |