| NPI | 1386834075 |
|---|---|
| Former Name | ELIZABETH MUNDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9207-123) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.013900) | |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2021-10-26 |