| NPI | 1902318496 |
|---|---|
| Former Name | LISA PAIGE BATEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: VA 0810005469) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2022-01-24 |