NPI | 1043470008 |
---|---|
Former Name | ELIZABETH GAYLE SOULES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68283) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPC4681) |
101YP2500X Counselor, Professional (Licence: GA LPC005016) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2024-06-28 |