| NPI | 1477275931 |
|---|---|
| Former Name | ELIZABETH ANN HOLDER NIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 829781) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |