| NPI | 1649618513 |
|---|---|
| Former Name | ELIZABETH JEANNE TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 82303) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 8983) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-04-09 |