| NPI | 1467190579 |
|---|---|
| Former Name | ELIZABETH BROBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A12680) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2025-07-01 |