| NPI | 1003264722 |
|---|---|
| Former Name | ELIZABETH SUE SALAZAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008278) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0011112) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-09-13 |