| NPI | 1306384342 |
|---|---|
| Former Name | ELIZABETH CRETEKOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76967) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC008981) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2021-03-23 |