| NPI | 1568546448 |
|---|---|
| Former Name | ELIZABETH ANN DICKERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-05-06 |