| NPI | 1659902799 |
|---|---|
| Former Name | ELIZABETH L ERTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103272) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1902096-TRNE) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1902096-TRNE) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2022-11-22 |