| NPI | 1215164546 |
|---|---|
| Former Name | ELIZABETH ANN FLANSBURG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007716) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042333A) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2015-11-04 |