| NPI | 1578992814 |
|---|---|
| Former Name | ELIZABETH OLDBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008244) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2020-05-14 |