NPI | 1386926483 |
---|---|
Former Name | ELIZABETH MCCARRON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14485) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC A14485) |
101Y00000X Counselor (Licence: NC A14485) | |
106S00000X Behavior Technician | |
104100000X Social Worker | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2021-08-18 |