| NPI | 1649041997 |
|---|---|
| Former Name | ELIZABETH MAE RIESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2026-04-30 |