| NPI | 1093060816 |
|---|---|
| Former Name | ELIZABETH ANN KRUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 13304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A8829) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2022-07-21 |