NPI | 1740263342 |
---|---|
Former Name | ELIZABETH ANNE HEALY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004910) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 89211) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2011-07-26 |