| NPI | 1548730591 |
|---|---|
| Former Name | ELIZABETH BERNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6886) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR C6886) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health (Licence: C6886) | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2025-06-05 |