| NPI | 1023298239 |
|---|---|
| Former Name | ELIZABETH VALLY PATZAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0006713) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6713) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09923141) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923141) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2022-07-27 |