| NPI | 1487999082 |
|---|---|
| Former Name | ELIZABETH SUSAN RAY KOWALIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2018036222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149024218) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2025-01-22 |