| NPI | 1679514244 |
|---|---|
| Other Name | LIZ JETSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2097) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD LPC-MH2097) |
| 101YP2500X Counselor, Professional (Licence: SD LPC-MH2097) | |
| 106H00000X Marriage & Family Therapist (Licence: SD LMFT1072) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2021-07-12 |