| NPI | 1285257683 |
|---|---|
| Former Name | ELIZABETH MANDERFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WI 1253-124) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-01-18 |