| NPI | 1578102588 |
|---|---|
| Former Name | ELIZABETH ROSE DREADFULWATER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |