| NPI | 1265696801 |
|---|---|
| Former Name | ELISE KATHRYN BETTOZZI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005997) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC005997) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-04-26 |