NPI | 1568725927 |
---|---|
Former Name | ELIZABETH JANE MEALS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134581) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: OR C4124) | |
Enumeration Date | 2012-06-20 |
Last Update Date | 2022-06-30 |