NPI | 1821605452 |
---|---|
Former Name | TAYLOR ELIZABETH STOCKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC13017) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP10725) |
101YP2500X Counselor, Professional (Licence: MD LC13017) | |
Enumeration Date | 2020-09-28 |
Last Update Date | 2024-01-23 |