| NPI | 1083037402 |
|---|---|
| Former Name | ELIZABETH D DUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5637) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WI 1117) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2020-08-06 |