| NPI | 1184280414 |
|---|---|
| Former Name | ELIZABETH (LIBBY) ANN TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61228084) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID 8461871) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-12-04 |