| NPI | 1649641127 |
|---|---|
| Former Name | ELIZABETH LEIGH KUNKLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0005651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CO 0016917) | |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2021-10-07 |