NPI | 1215106141 |
---|---|
Other Name | ELIZABETH CLAIRE ECKHARDT YENNACO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 172M00000X Mechanotherapist (Licence: MA MT-0657-MT) |
Enumeration Date | 2008-02-25 |
Last Update Date | 2023-06-23 |