| NPI | 1306062922 |
|---|---|
| Former Name | ELIZABETH PRUIETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180.003668) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.003668) |
| 221700000X Art Therapist (Licence: NC 00-105) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2019-11-14 |