| NPI | 1497235923 |
|---|---|
| Former Name | CLAIRE ELIZABETH ELLISON |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-31026) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 78667) |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2021-12-14 |