| NPI | 1760472989 |
|---|---|
| Former Name | ELIZABETH E. CARSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017044760) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180003669) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2025-08-26 |