| NPI | 1487175469 |
|---|---|
| Former Name | ELIZABETH SHORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009247) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00942750) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2020-08-17 |