| NPI | 1639504061 |
|---|---|
| Former Name | ELIZABETH BICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70271) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12110) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2022-05-03 |