| NPI | 1639335904 |
|---|---|
| Former Name | ELIZABETH BREESE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4381) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 1931) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-01-08 |