| NPI | 1417528258 |
|---|---|
| Former Name | ELIZABETH LEE MANLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 28331) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09928461) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2024-06-25 |