| NPI | 1669981676 |
|---|---|
| Former Name | ELIZABETH M HURCKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 6881125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 3150) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2019-01-07 |