| NPI | 1831371350 |
|---|---|
| Former Name | ELIZABETH A BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4066) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 4066) |
| 101YP2500X Counselor Professional (Licence: MN 719) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2020-05-27 |