| NPI | 1255062642 |
|---|---|
| Former Name | ELIZABETH ANNE BOLLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY.0005838) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 0005838) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-10-10 |