| NPI | 1285764258 |
|---|---|
| Former Name | ELIZABETH ANNE DEILKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C007424) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 1169) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-10-13 |