| NPI | 1992723910 |
|---|---|
| Former Name | LISA JOY MARRICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 15940) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MI 6801065045) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-09-27 |