| NPI | 1861661035 |
|---|---|
| Other Name | ELIZABETH CLEVENGER BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.005995) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301010760) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-03-10 |