| NPI | 1639899909 |
|---|---|
| Former Name | ELIZABETH LEE LEWIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2023-05-31 |