| NPI | 1942691290 |
|---|---|
| Former Name | LISA MARIE MCNISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA C060635177) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2017-01-12 |