| NPI | 1245499607 |
|---|---|
| Former Name | ELIZABETH LOUISE STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH 14211) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-0019022014) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2022-06-22 |