NPI | 1578748976 |
---|---|
Former Name | ELIZABETH MARIE PAULOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 5230) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH6765) |
101YM0800X Counselor, Mental Health (Licence: LA 7239) | |
101YM0800X Counselor, Mental Health (Licence: IA 098681) | |
Enumeration Date | 2008-01-03 |
Last Update Date | 2025-07-01 |