NPI | 1922344076 |
---|---|
Other Name | LISA MARIE WINELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA 3125) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-12-18 |
Last Update Date | 2020-03-09 |