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 |