| NPI | 1427065887 |
|---|---|
| Former Name | ELIZABETH HAWK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015012083) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1724) |
| 1041C0700X Social Worker, Clinical (Licence: KS 4451) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C002979) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-08-05 |