NPI | 1205455664 |
---|---|
Former Name | BROOK ELIZABETH SCHMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 52375) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 13434) |
Enumeration Date | 2020-04-15 |
Last Update Date | 2020-04-15 |