| NPI | 1629589056 |
|---|---|
| Former Name | ELIZABETH R MARSHALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VT 068.0103817) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2024-09-16 |