| NPI | 1932887429 |
|---|---|
| Former Name | LISA DAUENHAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-58291) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-05-24 |