| NPI | 1992298798 |
|---|---|
| Former Name | LISA M QUAGLIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801107702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101507) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-10-26 |