NPI | 1548696354 |
---|---|
Former Name | ELIZABETH ANN COTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60620139) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60493160) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2016-12-29 |