| NPI | 1972273878 |
|---|---|
| Other Name | LISA MARIE OTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9883) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC P016069) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-06-23 |