NPI | 1477532166 |
---|---|
Former Name | ELIZABETH LYNNE RISCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW8706) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00007251) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2022-06-16 |