NPI | 1942569579 |
---|---|
Former Name | LISA ANN LITZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2617) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH10810) |
106H00000X Marriage & Family Therapist (Licence: MI 4101007105) | |
Enumeration Date | 2012-05-16 |
Last Update Date | 2021-05-06 |