| NPI | 1093205015 |
|---|---|
| Former Name | ELIZABETH ANNE BOESEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002845A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 39002845A) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2023-09-05 |