| NPI | 1124434790 |
|---|---|
| Former Name | EIIZABETH MENSING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149021022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 8730-123) |
| 104100000X Social Worker (Licence: WI 129378-121) | |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2021-04-07 |