| NPI | 1033720511 |
|---|---|
| Former Name | ELIZABETH MARY OWEN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: OR L16261) | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2025-04-14 |