| NPI | 1740718030 |
|---|---|
| Former Name | ELIZABETH NEWBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002024) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1700107) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-01-17 |