| NPI | 1225896194 |
|---|---|
| Former Name | ELIZABETH VICTORIA BOZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 125523) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9528) |
| 106H00000X Marriage & Family Therapist (Licence: TX 205401) | |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |