| NPI | 1538231451 |
|---|---|
| Other Name | LIZ DOUGLASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AZ 3349) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3349) |
| 103TP2701X Psychologist Group Psychotherapy (Licence: AZ 3349) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-12 |