| NPI | 1760093405 |
|---|---|
| Former Name | ELIZABETH BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304832) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2004819) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2023-10-26 |