| NPI | 1598503765 |
|---|---|
| Former Name | ELIZABETH CHANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 14-08-13) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |