| NPI | 1982831327 |
|---|---|
| Former Name | LISA LUANN MARTINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 08771) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 08771) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2024-10-01 |