NPI | 1972059434 |
---|---|
Former Name | LISA PLUMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA AMFT140797) |
Additional Taxonomies | 172V00000X Community Health Worker |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2016-08-25 |
Last Update Date | 2023-10-20 |