NPI | 1396886719 |
---|---|
Former Name | ELIZABETH PICKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111816) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-02-09 |
Last Update Date | 2023-10-16 |