NPI | 1023380888 |
---|---|
Former Name | ELIZABETH JOANNA SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05762400) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 092172) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2018-03-17 |