| NPI | 1720555253 |
|---|---|
| Former Name | ELIZABETH M WAITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05384) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 05384) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2023-10-13 |